Individual
MR. MARCUS A POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ED
Contact information
Practice address
224 W 35TH ST FL 11, NEW YORK, NY 10001-2533
(929) 266-5737
Mailing address
824 SAINT NICHOLAS AVE APT 32, NEW YORK, NY 10031-1922
(646) 416-2011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1190777171
NY
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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